chronic pain in lower right quadrant of groin

[theodoresmom]

I am a 52 year old female with chronic and at times very severe pain in the lower right quadrant of my groin. The pain radiates down my leg making it difficult to walk up stairs. I get some relief (mild) when I have a bowel movement or when I urinate (which has become more urgent). The pain is also radiating into my tail bone area. This has been a problem for years, but recently it has become severe, restricting my normally active lifestyle. One really odd thing is many times by evening the pain has lessoned, but when I get up in the morning I am awakened by the pain building.
A few medical stats on me – I am 5’7” weigh 128 lbs. I regularly exercise (cardio and weights) and this is not an injury – this is a chronic problem that has worsened as I have gotten older. I have exercised when in pain and honestly it doesn’t make the pain worse, but the pain itself is exhausting. Movement doesn’t make the pain worse but the pain is so bad it is hard to move.
My gallbladder was removed when I was 25 and I had a hysterectomy when I was 28. I have 1 child that is 25 years old. And with the exemption of migraines and this terrible pain, I am in really great health. When I went to my family physician, he sent me for a hip x-ray, which revealed nothing. About 7 years ago I had an upper and lower GI and they were both normal – these were administered because of my right side pain complaint. I had a Colonoscopy – normal. They also did the ‘dye’ test (sorry I can’t remember the name) – also negative results. I have had stool samples examined for parasites – also negative.

[Kevin Pho, MD]

The colonoscopy would rule out many of the major lower GI disorders.  

You can consider things like a hernia, groin strain, endometriosis, or problems with the appendix.  

Imaging would be a reasonable next step - this can be done with an abdominal/pelvic CT scan.  An MRI can also be considered if the test is non-revealing.  

If the pain continues, a referral to a physiatrist (rehabilitation MD) can be considered to further look at the hip joint and consider musculoskeletal causes.  

If endometriosis is considered, a referral to a gynecologist can be done to evaluate for this possibility.

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_

[mayumi]

Good day!! Im a married woman ,33 yrs old and i have 4 kids.2002 I had tubal ligation. I experinced this chronic pain in the right lower quadrant about a year ago. I went to my OB and had a Transvaginal ultrasound .We found out that I have an Endometriosis. The Dr. told me to take pain reliever before my menstrual period.As the year goes by  the pain also come and go. Until 3 weeks ago that the pain did not subside.I went back to my Ob and had Trans V again. She told me that my endometriosis was gone. I done total abdominal ultrasound last week. The result was all normal.I've done CBC and urinalysis also. The Dr. told me that I had UTI so she prescribed me with antibiotics but my CBC was also normal.I did not experience any changes in my body except that this pain in my abdomen did not go away. I really dont want to undergo any procedure anymore. I want to have MRI or CT scan. To found out what's really wrong with my abdomen. Is this a good decision??? Please help!!

P.S. As I typing this.... Im in terrible pain. God Bless!!

[mayumi]

Good day!! Im a married woman ,33 yrs old and i have 4 kids.2002 I had tubal ligation. I experinced this chronic pain in the right lower quadrant about a year ago. I went to my OB and had a Transvaginal ultrasound .We found out that I have an Endometriosis. The Dr. told me to take pain reliever before my menstrual period.As the year goes by  the pain also come and go. Until 3 weeks ago that the pain did not subside.I went back to my Ob and had Trans V again. She told me that my endometriosis was gone. I done total abdominal ultrasound last week. The result was all normal.I've done CBC and urinalysis also. The Dr. told me that I had UTI so she prescribed me with antibiotics but my CBC was also normal.I did not experience any changes in my body except that this pain in my abdomen did not go away. I really dont want to undergo any procedure anymore. I want to have MRI or CT scan. To found out what's really wrong with my abdomen. Is this a good decision??? Please help!!

P.S. As I typing this.... Im in terrible pain. God Bless!!

[steem65]

Hi.. I know how to be in pain always.. I hav some of those pain ur havin like the upper right groin pain ( mine was just above it ), lower back or tailbone pain and others that I try so hard to ignore since I am scared of taking pain killers, even prescribed by drs. I had hernia before, having that groin pain on both sides and was operated on after a few test proved it positve by a laparoscopic specialist.  I did a pelvic sonogram, negative, and yet my pelvic area is always in pain, on and off. I dont know anymore what test to take since all gynecologic exams and test were done and proved negative to know where this lower abdominal pain come s from ( pain similar to what I had before I had my ovary with cyst was taken out).
If u can consider having hernia test, before ruling it out as one of the causes